Healthcare Provider Details

I. General information

NPI: 1174201214
Provider Name (Legal Business Name): CHIVONNE ASHLEY PIERRE-WILLIAMS APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 E MILLER AVE STE B
IOWA LA
70647-4075
US

IV. Provider business mailing address

PO BOX 123604 DEPT 3604
DALLAS TX
75312-0001
US

V. Phone/Fax

Practice location:
  • Phone: 337-480-7475
  • Fax:
Mailing address:
  • Phone: 337-494-2921
  • Fax: 337-494-6523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN152572
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number231556
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: